Ivan Jacobs, M.D

NPI: 1093719858

Ivan Jacobs, M.D

Q: What is Ivan Jacobs's NPI number?

Ivan Jacobs's NPI number is 1093719858, a unique 10-digit identifier issued by CMS.

Q: Is Ivan Jacobs's NPI currently active?

No, Ivan Jacobs's NPI status is Deactivated as of the latest CMS NPPES update.

Q: What does Ivan Jacobs specialize in?

Ivan Jacobs specializes in Ophthalmology, taxonomy code 207W00000X.

Q: Where does Ivan Jacobs practice?

Ivan Jacobs practices in Beverly Hills, CA 90211-3128.

Q: When was Ivan Jacobs's NPI issued?

Ivan Jacobs's NPI was issued on June 9, 2005.

Q: What is Ivan Jacobs's provider type?

Ivan Jacobs is an Individual Provider under CMS NPI Type 1.

InactiveIndividual ProviderOphthalmology

NPI issued: June 9, 2005

Quick Facts

NPI Number

1093719858

TypeIndividual

StatusInactive

SpecialtyOphthalmology

Taxonomy207W00000X — Ophthalmology

Phone

(310) 652-2255

StateCA

NPI Validation Status: Deactivated

✅Valid 10-digit NPI number (1093719858)

❌Active status: Deactivated / Inactive

✅Verified by CMS NPPES Registry

✅HIPAA compliant identifier

✅Enumeration date on file (June 9, 2005)

Data source: CMS NPPES

Provider Overview

IVAN JACOBS, M.D is a Ophthalmology provider based in Beverly Hills, CA who has been registered with CMS since 2005. This NPI is currently Deactivated under CMS NPPES registry.

Provider Details

NPI Number1093719858

Provider TypeIndividual Provider

GenderMale

CredentialM.D

StatusInactive

Enumeration DateJune 9, 2005

Practice Location

CityBeverly Hills

StateCA

ZIP Code90211-3128

Phone(310) 652-2255

Specialties & Licenses

★ Primary

SpecialtyOphthalmology

Taxonomy Code207W00000X

License StateCA

Mailing Address

CityBeverly Hills

StateCA

ZIP Code90211-3128

Phone(310) 652-2255

Same as practice location

How to Use This NPI

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For Insurance Billing

Use NPI 1093719858 in Box 33 of the CMS-1500 claim form. This number is required by all major insurance carriers to identify the billing provider and process electronic medical claims.

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For Credentialing

Reference NPI 1093719858for provider credential verification. Hospital systems, state licensing boards, and CAQH directories query this number to verify the provider's active clinical status.

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For Patients

Share NPI 1093719858 with your insurance company. If you need to verify out-of-network benefits or file a reimbursement claim, your insurance provider will require this number to process it.

About Ophthalmology

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